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One of the out-patient rehab alternatives for clients in Warm Springs battling with opioid abuse and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to dispense specific medications to opioid addicted people, many of which are opioids themselves and are addictive. In low enough amounts however, the client doesn't experience being high and also does not have severe cravings and is not experiencing opioid withdrawal. Methadone is the first med used for this purpose, but there are a few more choices currently to choose from.
Methadone is an opioid and can be taken at an out-patient medical center certified to administer the drug, which is taken daily in liquid or pill form. The cost of the drug is around under $200 per month. Buprenorphine is also an opiate based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that is only be administered in well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately three hundred dollars per month for the generic of the med. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug which reverses the effects of opiates. Someone consuming this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs about $450 a month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and is not an opiate. A person has the choice to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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